Form 735-9229 attached on back MUST be submitted with Oregon Traffic Accident and Insurance Report Form 735-32 to DMV. DMV OREGON TRAFFIC ACCIDENT AND INSURANCE REPORT Tear this sheet off your report read and carefully follow the directions. YOUR COPY Under Oregon law ORS 802. 220 5 DMV can not provide you a copy of your Oregon Traffic Accident for your records. RECEIPT Attached is a PINK courtesy copy of your report. After you have completed both sides of the form tear the PINK copy off for your records. COMMERCIAL MOTOR VEHICLE OPERATORS In addition to this report Oregon Administrative Rule requires that Form 735-9229 Motor Carrier Crash Report MUST be filed within 30 days of a commercial motor vehicle accident when there is a FATALITY INJURY requiring treatment away from the scene or when a vehicle is TOWED from the scene because of disabling damage. If you want a receipt bring the form with the PINK copy to a DMV office and have your copy validated. Without a receipt you will have no proof of submitting a report. MAIL Mail the form to Accident Reporting Unit DMV 1905 Lana Ave NE Salem OR 97314 or FAX to 503 9455267 or deliver it to any DMV office. PURSUANT TO OREGON INSURANCE LAW AN INSURANCE COMPANY CAN NOT REQUIRE REPAIRS BE MADE TO A MOTOR VEHICLE BY A PARTICULAR PERSON OR REPAIR SHOP. ONLY drivers involved in an accident resulting in any of the following MUST file an Accident Insurance Report s Damage to your vehicle is over 1500 s Damage to any one person s property over 1500 s Injury No matter how minor s Any vehicle has damage over 1500 and any vehicle s Death is towed from the scene as a result of damages Oregon law requires these reports be filed within 72 hours of the accident. DESCRIPTION AND SIGNATURE Describe what happened. It is important for you to sign and date the form. COMPLETING AND FILING REPORT OTHER SIDE OF FORM Complete the other side of the form. Information collected from both sides of this form is used by DMV and other officials in making valuable transportation decisions about the roadway systems and driver safety. YOUR COPY Under Oregon law ORS 802. 220 5 DMV can not provide you a copy of your Oregon Traffic Accident for your records. Attach this form to your OREGON TRAFFIC ACCIDENT AND INSURANCE REPORT. VEHICLE DO NOT WRITE OTHER DRIVER S FULL NAME LAST FIRST MIDDLE STK 300026 MOTOR CARRIER CRASH REPORT OREGON DEPARTMENT OF TRANSPORTATION ACCIDENT REPORTING UNIT DRIVER AND MOTOR VEHICLE SERVICES 1905 LANA AVE. NE SALEM OR 97314 FAX 503 945-5267 THE MOTOR CARRIER CRASH REPORT AND SUBMIT TO THE ADDRESS SHOWN ABOVE. IF NO CIRCUMSTANCES LISTED UNDER THE CRITERIA COLUMN APPLY YOU ARE NOT REQUIRED TO SUBMIT THE MOTOR CARRIER CRASH REPORT. SECTION 1 DATE LOCATION AND TIME Clearly identify the date location and time of the accident. The correct date location and time is critical to processing your report. If you are unsure of the county contact any local law enforcement agency for assistance. YOUR VEHICLE 1 DMV will consider your accident uninsured if you do not complete ALL of this section* You must list the insurance company name not agent and policy number that provided liability coverage for your operation of the vehicle you were driving at the time of the accident.
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